Antipsychotics are medicines used to manage major psychiatric illness like delusions, hallucinations, paranoia, schizophrenia, and bipolar disorder. Long-term use of antipsychotics causes side effects like impotence, weight gain, gynecomastia, etc.

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I feel listless and tired when I return home in the evening. How to resolve it?

Query: Hello doctor,I feel listless and tired when I return home in the evening. So much that I cannot exercise on the treadmill. I was on antipsychotics for 30 years which surely caused muscle stiffness and tardive dyskinesia. That could be one reason for the tiredness. Treatment for the above side-effect...  Read Full »

Dr. A. Pradeepkumar

Answer: Hello, Welcome to The causes of fatigue are many including long-term antipsychotic medicines. Other causes include anemia due to iron and B12 deficiency, thyroid diseases, cardiac failure, diabetes, sleep disorders, and medications to name a few. You have not mentioned about your curr...  Read Full »

Can my depression, weight gain, weakness, and fatigue signify hypothyroidism?

Query: Hi doctor, I am a 34 year old male. I recently had blood work done at a hospital near me. My physician says I am normal and that nothing is wrong. But, the following are troubling to me: My testosterone levels are at the lower end of the normal spectrum which does not seem good considering my age an...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I just read your query and from what you have mentioned, it appears that your lab results are well within the normal range. 1. Your testosterone is normal. It usually keeps fluctuating throughout the day. So, it is normal to find it on the lower range of the spe...  Read Full »

My brother has been suffering from schizophrenia for the past three years and is taking multiple medications for the same. Should his dose be increased?

Query: Hello doctor, My brother has been having schizophrenia from the last three years. He is on medication from last two years. Last year he had around 10 ECT in six months and he was in a controlled situation. But suddenly he stopped medicines for two to three weeks. So again a episode of schizophrenia...  Read Full »

Dr. Vandana Patidar

Answer: Hello, Welcome to There are chances that he is going into relapse state. Scizophrenia is a serious and chronic mental illness. The patient needs to be followed up regularly by doctor. I would suggest you not to increase the dose of medicines on your own because though very effective but...  Read Full »

I am suffering from schizophrenia. Suggest me some drugs which can increase the dopamine level in my body.

Query: Hi doctor, I have schizophrenia and am currently on Aripiprazole, Fluoxetine, and Diazepam. I want to change the antipsychotic drugs soon and am wondering what is the right pill for me to lose weight and have higher Dopamine levels. I need something energetic, something that will make my brain work ...  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to I can understand your situation but why do you want to change your antipsychotic medicines if you are stable on them? You should try to follow the below guidelines to increase dopamine. It will help you. You should do exercises daily for 30 to 45 minutes like at least ...  Read Full »

How is delusional jealousy treated?

Query: Hi doctor, My dad is suffering from a delusion of jealousy for the last three years. What is the treatment for it? The main problem is that my dad has no insight of his problem. How much time will it take to recover? Please help.  Read Full »

Dr. Sonia Malhotra

Answer: Hi, Welcome to The treatment is antipsychotic medicines like Olanzapine, Aripiprazole, etc., followed by insight oriented psychotherapy after remission. But, please ensure that there are no other symptoms like delusions of persecution or control, hearing voices, sleep and ap...  Read Full »

How can I cure schizophrenia without drugs?

Query: Hello doctor, I have been diagnosed with schizophrenia and have been prescribed anti-psychotic medication Olanzapine. I have been taking it for 2 to 3 years. I was wondering if there is an alternate route to treatment? Or if there is another solution for a possible cure? I do not want to deal with ...  Read Full »

Dr. Vandana Patidar

Answer: Hi,Welcome to is an antipsychotic medicine. Yes, Olanzapine is available in injectable form. If Olanzapine is causing some effects then it can be changed to other antipsychotic like Aripiprazole, Risperidone or Ziprasidone. You need to take medicines or injectables to keep sym...  Read Full »

After getting a clot in the heart and left leg my father has stopped recognizing the family members. Please help.

Query: Hi doctor, My father had a blood clot in the brain and left leg artery six months ago. He stopped recognizing the family members and started yelling our names for help. We were closer to him, but he could not realize it and claimed that we were ghosts who had come to kill him and were not his famil...  Read Full »

Dr. Seikhoo Bishnoi

Answer: Hello, Welcome to I understand your concern. The sudden onset of suspiciousness and inability to recognize family members can be due to depression with psychosis at this age. It can also occur due to some organic cause like infarction or interruption of blood supply to parts of the br...  Read Full »

I am getting mental images of the past for the ten months. Why?

Query: Hello doctor, I have been suffering from what I think are mental problems since last year. To give you some context, I went abroad for studies, and I felt extremely lonely and miserable there. After a year, I was suffering from sleep problems. However, one day, I had confusing thoughts, just before ...  Read Full »

Dr. Prathap

Answer: Hi, Welcome to This problem you are facing is a mental illness for sure. The description of your symptoms seems that it is a serious issue, as it has been persistent for the past 10 months.The problem you are facing is probably visual hallucinations or illusions, which are a part of psy...  Read Full »

Can my diabetic and hypertensive father use Aripiprazole?

Query: Hello doctor, My father is 65 years old. He has bipolar disorder for 40 years. He also has diabetes. He is taking medicine for high blood pressure. For a very long time, he took lithium 1000 mg and oxcarbazepine 900 mg. 2-3 episodes used to happen, normally of long manic spell followed by gloomy/not...  Read Full »

Dr. Vivek Chail

Answer: Hi, Welcome to I have read through your query in detail. Please find my observations below. Medicines for mental health conditions should be taken under the strict supervision of the psychiatrist. As mentioned above, lithium toxicity is a serious concern and it is good that you have ...  Read Full »

I feel tired and anxious after taking Abilify. Why?

Query: Hi doctor, I am so anxious and sleeping 9 to 10 hours per day. It has begun when I start taking Abilify pills and Akineton. Why I feel so tired every day?  Read Full »

Dr. Nidhi Jain

Answer: Hi, Welcome to Please answer me a few more questions. Do you have any of the following symptoms? Persistent low mood, disturbed appetite, loss of interest in previously pleasurable activities, ideas of hopelessness, ideas of helplessness, ideas of suicide and persistent headache. ...  Read Full »

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